Lysosomal Storage Disorders

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Lysosomal Storage Disorders

Wednesday, January 13, 2021 8:44 AM

Disease Inheritance Pathophysiology

Sphingolipidoses
Gaucher disease Autosomal ↓ β-Glucocerebrosidase • Hepat
recessive → ↑ glucocerebroside • Devel
• Bone
especi
of fem
• Pancy

Krabbe disease Autosomal ↓ Galactocerebrosidase - Periph


recessive → ↑galactocerebroside & - Develo
psychosine - Loss o

Tay-Sachs disease Autosomal ↓ Hexosaminidase A - Progre


recessive → ↑ GM2 ganglioside neurod
- Hyper
- hyperr
- Develo
- Macul

Fabry disease X-linked ↓ α-Galactosidase A Early


recessive → ↑ ceramide trihexoside - Dyses
- (Fabry
- Hypoh
- Angio
Late s
- Cardio
- Nephr
Clinical features Diagnostic
findings

tosplenomegaly Gaucher cells


lopmental delay
crises,
ially avascular necrosis
mur
ytopenia

heral neuropathy Globoid cells


opmental delay
of vision

essive Lysosomes
degeneration with onion-
racusis skin appearanc
reflexia e
opmental delay
la with red cherry spots

symptoms Zebra bodies


sthesia
y crises)
hidrosis
okeratomas
symptoms
omyopathy
ropathy
- (Fabry
- Hypoh
- Angio
Late s
- Cardio
- Nephr
Metachromatic Autosomal ↓ Arylsulfatase A - Progre
leukodystrophy recessive → ↑ cerebroside sulfate of the
nervou
- Ataxia
- Develo
- Memo
Niemann-Pick disease Autosomal ↓ Sphingomyelinase - Progre
recessive → ↑ sphingomyelin neurod
- Macul
- Hepat

Mucopolysaccharidoses

Hurler syndrome Autosomal ↓ α-L-iduronidase Develop


recessive → ↑ heparan sulfate Facial d
and dermatan sulfate Airway
Hepatos

Hunter syndrome X-linked ↓ Iduronate-2-sulfatase


recessive → ↑ heparan sulfate
and dermatan sulfate

Mucolipidoses
I-cell disease Autosomal ↓ N-acetylglucosaminyl-1- Coarse
recessive phosphotransferase Corneal
→ ↑ abnormal Gingiva
lysosomal Claw ha
substances Kyphos
Other
Adrenoleukodystrophy X-linked ↓ ATP Progres
y crises)
hidrosis
okeratomas
symptoms
omyopathy
ropathy
essive demyelination -
e central and peripheral
us system
a
opmental delay
ory deficits
essive Foam cells
degeneration Zebra bodies
la with cherry red spot
tosplenomegaly

pmental delay Corneal Zebra bodies


dysmorphism clouding
obstruction
splenomegaly

Aggressive
behavior

facial features -
l clouding
al hyperplasia
and deformity
scoliosis

ssive deterioration of -
→ ↑ abnormal Gingiva
lysosomal Claw ha
substances Kyphos
Other
Adrenoleukodystrophy X-linked ↓ ATP Progres
recessive binding cassette transport→ ↑ vision, h
deposits of function
very-long-chain fatty acids Dement
Adrena
al hyperplasia
and deformity
scoliosis

ssive deterioration of -
hearing, and motor
n
tia
al insufficiency

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